Tatara Alexandra Whiddon, Ji Christine, Jacob Susan, Marshall John
Massachusetts General Hospital, Boston, MA, USA.
Hosp Pharm. 2022 Aug;57(4):482-487. doi: 10.1177/00185787211051644. Epub 2021 Oct 13.
Studies have shown that patients would like to receive more medication education while hospitalized. Higher patient satisfaction has been correlated with lower mortality and fewer hospital readmissions. This was a quasi-experimental study. Four Doctor of Pharmacy students were assigned 1 medicine inpatient unit to provide education on new medications during the study period, June to September. The primary endpoint was the change in HCAHPS scores for the medication communication domain composite for the intervention unit and a similar control unit that was not receiving the intervention from the pre-intervention to the intervention periods. A total of 124 patients were educated during the intervention period, with an average age of 65 and 2.2 new medications. Average HCAHPS scores for the medication communication domain for the intervention unit increased from 68% pre-intervention to 91% during the intervention ( = .389) while the control unit remained unchanged at 78% both pre- and during the intervention ( = .13). An increase in the medication communication HCAHPS score for the intervention unit was observed, while the control unit remained stable. This study has the potential to drive change by implementing pharmacy students throughout inpatient units to educate patients on new medications thereby improving patient satisfaction.
研究表明,患者在住院期间希望获得更多的用药教育。更高的患者满意度与更低的死亡率和更少的再次住院率相关。这是一项准实验研究。在6月至9月的研究期间,四名药学博士学生被分配到一个内科住院单元,负责提供新药相关教育。主要终点是干预单元和未接受干预的类似对照单元在用药沟通领域综合评分(HCAHPS评分)从干预前到干预期间的变化。在干预期间,共对124名患者进行了教育,患者平均年龄为65岁,平均有2.2种新药。干预单元用药沟通领域的平均HCAHPS评分从干预前的68%提高到干预期间的91%(P = 0.389),而对照单元在干预前和干预期间均保持在78%不变(P = 0.13)。观察到干预单元的用药沟通HCAHPS评分有所提高,而对照单元保持稳定。这项研究有可能通过在整个住院单元安排药学专业学生为患者提供新药教育来推动变革,从而提高患者满意度。